Document Detail

Waterbirths compared with landbirths: an observational study of nine years.
MedLine Citation:
PMID:  15346814     Owner:  NLM     Status:  MEDLINE    
AIMS: This study compares neonatal and maternal morbidity and mortality between waterbirths and landbirths (spontaneous singleton births in cephalic presentation, vacuum extractions are excluded). METHODS: In this observational study covering nine years, standardized questionnaires were used to document 9,518 spontaneous singleton cephalic presentation births, of which 3,617 were waterbirths and 5,901 landbirths. RESULTS: Landbirths show higher rates of episiotomies as well as third and fourth degree perineal lacerations. Waterbirths show a higher rate of births "without injuries", first and second-degree perineal lacerations, vaginal and labial tears. After a waterbirth, there is an average loss of 5.26 g/l blood; this is significantly less than landbirths where there is an 8.08 g/l blood loss on average. In 69.7% waterbirths required no analgesic, compared to 58.0% for landbirths. Water and landbirths do not differ with respect to maternal and neonatal infections. After landbirths, there was a higher rate of newborn complications with subsequent transfer to an external NICU. During the study, there were neither maternal nor neonatal deaths related to spontaneous labor. CONCLUSIONS: Waterbirths are associated with low risks for both mother and child when obstetrical guidelines are followed.
Verena Geissbuehler; Sonja Stein; Jakob Eberhard
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  Journal of perinatal medicine     Volume:  32     ISSN:  0300-5577     ISO Abbreviation:  J Perinat Med     Publication Date:  2004  
Date Detail:
Created Date:  2004-09-06     Completed Date:  2004-10-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0361031     Medline TA:  J Perinat Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  308-14     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Cantonal Hospital, Frauenfeld, Switzerland.
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MeSH Terms
Delivery, Obstetric / methods*,  statistics & numerical data*
Infant, Newborn
Pregnancy Outcome
Switzerland / epidemiology
Comment In:
J Perinat Med. 2004;32(6):543-4   [PMID:  15576281 ]
J Perinat Med. 2004;32(4):306-7   [PMID:  15346813 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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